Start near the abdomen, pull elastic belt away from the abdomen, and then slowly return to the original position. You can put a towel under your armpit to keep it comfortable, prevent abduction from shifting from supination to abdomen, and then slowly reset it. Towels can be placed under the armpits to keep them comfortable and prevent joint abduction.
2. Resist shoulder supination (rest/neutral position)
Start from the external rotation position and move to the abdomen, and then slowly reset. Towels can be placed under the armpits to keep them comfortable and prevent joint abduction.
3. Anti-shoulder stretching training
The upper arm begins to bend forward about 45 degrees, and elastic belt pulls back to keep elbow flexion.
4. Anti-shoulder stretching training
Bend your elbow, hold elastic belt on your chest with both hands, exert force on the muscles in the scapula area, so that the left and right scapula are close to the middle, pull elastic belt outward with both hands, and then slowly return.
5. Anti-shoulder stretching training
Lie on your back, bend your shoulders forward 90 degrees, keep your elbows straight, hold elastic belt and stretch forward toward the ceiling, and keep your shoulder blades away from the operating table/treatment table.
6. Actively bend the shoulder joint and keep the upper trapezius muscle relaxed.
Lift your upper limbs forward, keep your shoulders relaxed and avoid shrugging. You can train in front of the mirror, or you can put the opposite hand on your shoulder.
7. Retract the mandible and extend the scapula at the same time (posture training)
Sit or stand, retract the lower jaw, and at the same time extend the scapula backward, downward and backward to avoid flexion or backward.
Stretch your neck and look straight ahead. 1. Shoulder abduction scapula plane (0-90)
Standing posture: put your feet on one end of elastic belt, hold the other end of the same side of elastic belt with your thumb up, and lift it forward to 90 degrees with your shoulder level. Pay attention to keep it in the scapular plane, between the front sides of the body, and the horizontal plane is about 30 degrees. Return slowly and repeat.
2. Shoulder flexion (0-90 degrees)
Stand, step on one end of elastic belt, hold the other end of elastic belt on the same side, and raise your thumb forward to shoulder level of 90 degrees. Pay attention to keep straight. Return slowly and repeat.
3. Outspread Shoulder External Rotation Training (45-90)
Stand facing the door, and put your upper arm at shoulder height or slightly lower level.
Bend your elbow 90 degrees. Hold the elastic band and rotate it 45 degrees to 90 degrees. slow
Return to your original position. Repeat.
4. Carry out shoulder pronation training in the outer booth (45-90 degrees)
Stand with your back to the door, with your upper arm shoulder-high or slightly lower on the horizontal plane, and your elbow bent at 90 degrees. Hold the elastic band and rotate it 90 degrees to 45 degrees. Return slowly. Repeat.
5. Four-legged push-ups+"hunchback" training
Four-legged support posture, shoulder width. Put your arms down and arch your upper back like a hunchback. Return slowly and repeat.
6. prone position: shoulder horizontal abduction +T-shaped shoulder extension.
In prone position, the shoulders extend horizontally, the shoulder blades extend backward in the direction of the spine, the body is T-shaped, and the thumb is facing up (ceiling), slowly returning and repeating.
7. Shoulder flexion in prone position+T-shaped extension of scapula. In prone position, the shoulders are flexed, the scapula extends obliquely in the shape of "T" toward the spine, and the thumb is upward (ceiling), slowly returning and repeating. (Continue the second stage of exercise and add the following new training)
1. The vibration paddle of the fuselage blade is lower than 60.
Standing posture, holding the Bodyblade vibration paddle, keeping the shoulder below 60 degrees on the scapula plane, and conducting horizontal and vertical vibration confrontation training. If there is no pain and the scapula is well controlled, you can train more than 60 degrees.
2. The vibration paddle of the fuselage blade is higher than 60.
Standing posture, holding the Bodyblade vibration paddle, keeping the shoulder above 60 degrees on the scapula plane, and conducting horizontal and vertical vibration confrontation training.
3. Mower start-up training
One end of the elastic band is tied to the supporting foot of the bed or heavy sofa, the other end of the elastic band is held by the trunk, and the hips and knees are bent forward. Pull elastic belt to the upper and rear of the syncline, then stretch the hips, knees and trunk, shoulder abduction, external rotation and elbow flexion at 90 degrees. Reset and repeat under slow control.
4. Forearm push-ups+horizontal stretching
Forearm push-up posture, after the upper back sinks, the shoulders move forward and the waist and abdomen arch the upper back hard. Return slowly. Repeat.
Traction training
30 seconds, three groups a day.
1. Stretch the pillow towel behind the thoracic vertebra in supine position.
The towel roll is placed longitudinally behind the thoracic vertebra, lying flat, with both upper limbs placed outside the body and palms facing up (ceiling).
2. Frame chest muscle traction training
Upper arm abduction, elbow forearm door frame as shown below. Turn your torso slowly to the opposite side until you feel the tension in your chest muscles.
3. After the shoulder traction training, the horizontal adduction flexion is 90 degrees, and the other hand of the shoulder joint adducts strength at the elbow joint to help traction.
4. Shoulder external rotation crutch traction training
Bend the elbow of the affected upper limb and hold one end of the crutch; The healthy side holds a crutch, and the other side forcibly pressurizes the external rotation through the crutch.
5. Shoulder internal spinning towel training
As shown in the figure, hold the towel with both hands, with the affected side facing down and the healthy side facing up. Pull hard and pull the affected side inward.
6. Shoulder flexion and traction training
Stage 1: Lie on your back with elbows straight and shoulders bent forward until you feel traction, as shown in the figure; In the second and third stages, the hand slides up against the wall and slowly approaches the wall to increase traction, as shown in the figure.
The above rehabilitation guidelines are not fixed, and the exercise training in each rehabilitation stage is not completely separated. The training methods and objectives of rehabilitation should be adjusted according to the patients themselves, pathology and rehabilitation requirements. Any training method can not be regarded as a regulation, but as a guiding principle of rehabilitation training.
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